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IIIIG I <br />Corporatc <br />2892 E La PalrE Avo. Ste. A <br />Ar.heim, CA 92@6 <br />T.l: 714.632.2999 <br />Fax:714.632-2571 <br />Obpotdr: A@.491.2990 <br />San Dicgonnp€ri't County <br />6295 F.rris Squere $r. C <br />S6n Diego, CA 92121 <br />Tel: 858.537.39SO <br />Fex : 858.537.3990 <br />Oispotch: 8Ea.8.44.5()a) <br />lnl.nd Emd.c <br />1iu6l i/i€rHbn Pky,y , BHO 2A <br />Rv.Isk e CA 92Sla <br />T.l: 951.053.?t999 <br />Fax: *il.653-4666 <br />Oispatcfi: 800.491.2S0 <br />l.dr, <br />4zt9t 7 Go[ Conbr Phiry., Sto..l <br />lndio, CA 92201 <br />Toli 7@3.,2I6n <br />F.!:760.342.rt525 <br />Clsp€dr: 80O.€, .2990 <br />M?GL PROJECT': 5403A19 <br />Pen tt 10191322-175{19 <br />Repo.t t ? Fbge 'l of 1 <br />Specirl lrlsp€dbn Reports muEt te dstnlut€d lo 0le parties t6ted Detow wdr.n 14 d6)is Ca tll€ lrEpedon Repo.ts ot norFco.npl6nt co.ld,hons musl be disulbiried immedEietySeparate €ports shalt be prepacd loa e-n tyDe ca Bpecal rBpedon oo a daly bs66 Eadt l€po.t stEX be co.npteGd and qtn€d by the srbt 'nsp€ds cood'r.tno rhe <br />THE WORK WAS WAS NOT THE WORK INSPECTEO MET DID NOT MEETlnspected rn ac€ordance w h the requirements ol the DStuOS pHD/ <br />PROJECT approvcd d,ocrrments. <br />MAIERIAL SAMPLING WAS E] WAS NOT E] N/A Et \A'EAIhET: <br />Pertormed in accodancs tryih DSIJOSPHO/PROJECT approved docurnents <br />The requirements otthe PROJECT dodhents <br />Samples taken. <br />Clear remp: 73 f <br />Signa of Special lnspedor <br />Maged Saad <br />Pnnt Name <br />Prcjec, A.rhitect <br />Strudural Engineer <br />DSA Reglonal Offcs <br />School Disind <br />Cont-ador <br />Building Departrnern <br />Own6r <br />PRoJECT NAME: Aldi Store # 34 oate 09/14/2017 <br />ARCHITECT:APD IIME ARRIYED: 8:OO AM rlME DEPARTEDT 05:0O PM <br />ENGTNEER: B&B Associates TRAVEL TIME:LUNCH IIME: - <br />CONTRACTOR ED GRUSH SUB CONTRACTOR: <br />INSPECTION AOORESS ADDRESS OF PROJECT: 2430 S.Bristol St, Santa Ana, <br />BACK FILL <br />TYPE OF INSPECTION <br />E ENGINEEREo FILLfl rouxonrror <br />BATCH <br />PT CONCRETE <br />E SHoTcRETE <br />CONCRETE <br />trtr <br />RY <br />HIGH STRENGTH BOLTING <br />WELDING <br />SHOPWELD <br />FIREPROOFING <br />ANCHOR/DOWEL <br />NDE FIELD <br />XDE SHOP <br />EILING l/\,RE <br />trtr <br />osAJosH PO PROJECT <br />APPROVED trcCUMENTS PLANS Y Ntr <br />AVAILABLE APPROVED SOIL REPC,RT Y <br />N <br />N <br />APPROVEO SHOP DRAWNG Y <br />EOEUIruENT USEO BY CONTRACTOR <br />r ,oRK AREA FoundatiOn Floor <br />RESEARCH REPORT MATE R REPORTS): Nonrul'^bE ht Consele. Hi€rade Mix <br />MATERIALS U SEO BY CON TOR <br />5" thick slab between grid lines A.5&C.6 and between lines 7 & 7.6. <br />lnspected reinforcing steel insta llation. <br />lnspected reinforcing steel for size, grade, type, labsplice and clearance. <br />lnspected location for reinforcing and embedded items. <br />All work inspected and detailed above has been completed as per approved plans and code and is readyfor concrete placement. <br />lnspection and reba r pre-check was performed in the following locations: <br />DAYREWORASKPERCEOFNTWOALLKR0T lYo EP R c TEN P ROJE cCT Mo LP ETE <br />@ <br />Cert,fication #: ICC$457/179 <br />DAILYINSPECTION Ds^,/crwFihr_ <br />REPORT osA/osHpD Appr. . <br />DSA/LEA I <br />- <br />(-